Individual
CHRISTINA NICOLE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 3RD ST, MACON, GA 31201-3294
(478) 202-8691
Mailing address
610 3RD ST, MACON, GA 31201-3294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07220758
GA
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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